| NPI | 1477059194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 307766) |
| Additional Taxonomies | 2084H0002X (Licence: NY 307766) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-03-05 |